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The Joint Commission Survey

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The Joint Commission is involved in making sure the health care facilities are providing the patient and family members of patients the effective and safe care that the patient needs and deserves. There is a close relationship between the National Patient Safety Goals (NPSG) and the results of the Joint Commission survey. If the facility were following the NPSG’s then the facility would have more of likelihood that the organization will receive a good survey results from the Joint Commission. There are serious consequences for the health care organization if the organization does not meet the benchmarks set by the Joint Commission. Multiple tools out there will aid this author in determining if the organization that this author works in is …show more content…

The Joint Commission website has multiple resources and references to determine if an organization is ready for the Joint Commission survey. There are account executives that are able to help an organization determine if the organization is ready for the survey to take place (Rana & Tran, 2014). There is also a website called Joint Commission connect that will allow health care facilities to log on and have access to tools and resources to prepare for the survey and to determine if the facility is ready for the survey (Rana & Tran, 2014). There are multiple ways to assess if an organization is ready to have the Joint Commission come in and perform a …show more content…

The NPSG and the Joint Commission survey have a positive relationship with each other. Implementing and achieving the NPSG would in turn lead to a possible good survey results due to the facility implementing steps to make the care that the patient is receiving safe. There can be serious consequences for a facility is the facility is not meeting the patient safety goals. Multiple tools are out there to help the facility assess the readiness for the Joint Commission survey. There are multiple actions that this author could put in place to make sure the organization is ready for the survey and to make sure the organization passes the survey. Most of the time when a health care professionals hears that the Joint Commission is coming out for a survey the workers will start to get nervous, however, the Joint Commission is not there to give the health care workers a hard time, the commission is there to make sure the patients are receiving safe and effective

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Description of Participants Of the 16 suggested stakeholders, 13 individuals participated in the telephone interviews (87% response rate). Across respondents, with the exception of Region 3, all the Idaho regions identified in Exhibit 1 were represented. The respondents represented a variety of professional positions, including Chief Executive Officers (CEOs), Chief Information Officers (CIOs), Executive Directors, other hospital administrators, and physicians, including primary care providers and specialists.

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Thank you for your all information. Your answer is very organized and well addressed the question. I agreed with you the Joint Commission's mission and goal now is to focus on continuously improving health care for the public by evaluating health care organizations and inspiring them to excel in providing the safest and effective care of the highest quality and value. According to the Joint Commision (JC), there are no new National Patient Safety Goals in 2015, but JC continuously determines the highest priority patient safety issues and how best to address them. For exxample, for hospital setting, the goals focus on following problems: identify patients correctly, improve staff communication, use alarms safely, prevent infection, identify

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CMS`s Medicare and Medicaid program might one those heading to failure because of the financial constraints the government has been imposing on this program. Also, public reporting on how the hospitals, providers and nursing homes are faring. They are also more current and projected like “Quality Improvement Organizations, Post- Acute Care Reform Plan and Development of Quality Indicators for Inpatient Rehabilitation Facilities (IRFs) which is, an overall goal of this project was to assist CMS in developing appropriate measures to monitor and evaluate the quality of rehabilitation services provided to Medicare beneficiaries in IRFs”, (CMS, 2017, p. 10). As for The Joint Commission, the current and projected initiatives are “Performance Measures for Acute Stroke Ready Hospital Certification which all currently certified acute stroke ready hospitals, as well as those hospitals seeking initial certification, will be required to implement data collection for five standardized measures effective with discharges on and after January 1, 2018”, (TJC,2017, p.1). In 2016, an advanced certification was launched for Total Hip and Total Replacement Knee and in 2017, advanced certification for Palliative Care program was launched.

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Last week I found the information that I gathered from the assignment on conducting a visit to a local healthcare facility to hold the most interesting concepts from me. Having worked for different healthcare facilities, I have had my share of Joint Commission visits. It is not at all a visit that hospital employees look forward to. Learning about the details behind what the surveyors intend to achieve by examining hospital practices, questioning employees and asking patients about their stay makes more sense now.

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The Joint Commission was founded in 1951 was also went through a name change and became the Joint Commission on Accreditation. Hospital facilities are under Joint Commission of Hospitals across the US. In 1953, JCAH began accrediting hospitals. The Social Security Amendments of 1965 passed by Congress announced that hospitals accredited by JCAH were allowed to participate in the Medicaid and Medicare programs. In 1987, the name was shortened and it became the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

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Their mission is “to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value”, (Joint Commission, 2014). The accreditation from the Joint Commission can be earned by multiple health care organizations including critical access hospitals, office based surgery centers, behavioral health care facilities, and home care services. For a hospital setting, the Joint Commission places the performance measures into accountability and non-accountability measures. They look at research and if the facility is performing evidence-based care process which improves health outcomes, proximity which the care process is linked to the patient outcomes, accuracy for whether or not the care process has indeed been provided, and any adverse effects. To earn and maintain The Joint Commission’s Gold Seal of Approval™, an organization must undergo an on-site survey by a Joint Commission survey team at least every three years (Joint Commission,

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The committees involve individuals from diverse backgrounds who support health care institutions with three major functions: providing clinical ethics consultation, developing and/or revising policies pertaining to clinical ethics and hospital policy and facilitating education about topical issues in clinical ethics. The goals of ethics committees are: to promote the rights of patients; to promote shared decision making between patients and their clinicians; to promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes; and to enhance the ethical environment for health care professionals in health care

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Reviewing the standards and practices employed by primary care the practices, training is the very important when it comes to risk management, and achieving accreditation with a self-governing organization such, as The Joint Commission on the Accreditation of Healthcare Organization. This organization performs intermittently on site reviews of procedure and compliance. This will help to promote awareness and compliance (Reising, 2012). Nurse Practitioner needs to protect themselves by: (1) Caring, establishing a good connection with patients and maintaining confidentiality. (2) Communicating with client by following up with all laboratory results and follow up with referrals as this will show competence.

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The Joint Commission is an independent, not-for-profit group in the United States that administers voluntary accreditation programs for hospitals and other healthcare organizations (for example, long term care, mental health, and ambulatory care). The commission develops performance standards that address crucial elements of operation, such as patient care, medication safety, and infection control and consumer rights. Patient safety is one of the main focus of the Joint Commission. They make sure their standards provide the best service by helping health care organizations to improve the quality and safety of the care they provide.

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Each year, the goals are analyzed and if necessary, updated. The 2016 National Patient Safety Goals aim to: 1) Improve the accuracy of patient and resident identification; 2) Improve the effective communication of caregivers; 3) Improve the safety of medication use; 4) Improve the safety of clinical alarm systems; 5) Reduce the risk of health care associated infections; 6) Organize identification of safety risks evident in patient populations; and 7) Set universal protocol for preventing wrong site/procedure/person surgeries (TJC, 2016). These safety goals are mandated so that medical errors are reduced and patients are given the best quality care possible. Some of the steps nurses can take in association with these goals include: using at least two patient identifiers to ensure correct patient treatment and reduce patient misidentification; making timely reports of critical test and diagnostic results; maintaining accurate patient medication information, and labeling all medications and containers removed from original containers; quickly responding to medical equipment alarms, and maintaining their upkeep; following hand hygiene guidelines, and using evidence-based practices to prevent infections due to multi drug-resistant organisms, surgical sites, or indwelling catheters; identifying patients at risk for suicide; and ensuring that sites are correctly marked for surgery through marking the procedure site and undergoing a verification process (Cherry & Jacobs,

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There are many stakeholders involved with health care administrations. Those stakeholders can be patients, health care physician, insurance providers, pharmaceutical manufactures, hospital organizations, community clinics and government. Each different stakeholder has their own individual vision of health care administration. This causes conflict due to the nature and differences in vision. which then can cause conflicts among each stakeholder involved.

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When the Hospital Standardization Program established their initial set of minimum standards, one of the prescriptive measures required healthcare organizations to maintain medical records for patient treatment. The necessity of creating, and preserving a detailed account of a patient’s history, laboratory results, and treatment seems rudimentary today. The Hospital Standardization Program made significant advances in enforcing proper documentation. Building on that legacy, TJC strengthened standards involving appropriate medical documentation by including strict timelines for completion. For example, TJC mandates a patient’s History and Physical (H&P) report be completed within 24 hours of admission.

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Assure that all staffs are involved, including non-clinical and clinical employees. A mock survey, whether performed by internal teams or external experts, can be extraordinarily beneficial to the organization. These mock surveys should be viewed not just as a “survey preparation” activity, but as the opportunity to validate and celebrate sustained compliance and to identify opportunities for improvement, work-around and other challenges. While some might view mock surveys as being as stressful as the real survey or too time consuming, such activities provide excellent opportunities for improvement and are worth the investment. Surveys today are about all aspects of the organization so everyone must understand their role in providing care and protecting patient safety.

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